|
Fmri brain by tech
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$9,426.26 |
$9,426.26 |
$9,426.26 |
$1,427.65
|
|
Fna bx w/ct gdn ea addl
|
$2,434.60 |
$2,434.60 |
$2,434.60 |
$834.90
|
|
Folic acid
|
$167.30 |
$167.30 |
$167.30 |
$99.96
|
|
Folic acid 5 mg/ml injection solution
|
$168.35 |
$168.35 |
$168.35 |
$50.70
|
|
Follow-up angiography
|
$1,761.20 |
$1,761.20 |
$1,761.20 |
$1,939.14
|
|
Follow-up surgery of eye
|
$6,870.83 |
$6,870.83 |
$6,870.83 |
$3,572.40
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,891.57 |
$1,891.57 |
$1,891.57 |
$2,481.61
|
|
Fondaparinux sodium
|
$259.52 |
$259.52 |
$259.52 |
$186.87
|
|
Fo nontorsion joint cf
|
$368.90 |
$368.90 |
$368.90 |
$217.50
|
|
Foot arch support remov prem
|
$218.40 |
$218.40 |
$218.40 |
$141.41
|
|
Foot drp splt w/exp heel lg
|
$102.20 |
$102.20 |
$102.20 |
$143.87
|
|
Foot X-ray
|
$594.30 |
$594.30 |
$594.30 |
$352.08
|
|
Forearm/arm cuffs ext/flex a
|
$2,034.20 |
$2,034.20 |
$2,034.20 |
$669.13
|
|
Forearm/arm cuffs free motio
|
$1,257.90 |
$1,257.90 |
$1,257.90 |
$901.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$2,050.30 |
$2,050.30 |
$2,050.30 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,715.52 |
$1,715.52 |
$1,715.52 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$165.02 |
$165.02 |
$165.02 |
$106.25
|
|
Fractionation ketosteroids
|
$275.10 |
$275.10 |
$275.10 |
$160.89
|
|
Fracture assessment via dxa
|
$411.60 |
$411.60 |
$411.60 |
$175.50
|
|
_fragile x methylation-sendout
|
$772.10 |
$772.10 |
$772.10 |
$183.74
|
|
Fragmenting of kidney stone
|
$12,705.35 |
$12,705.35 |
$12,705.35 |
$10,312.25
|
|
Frenectomy 41115
|
$2,961.70 |
$2,961.70 |
$2,961.70 |
$1,939.47
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$287.00 |
$287.00 |
$287.00 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$231.70 |
$231.70 |
$231.70 |
$130.98
|
|
Frozen plasma, pooled, sd
|
$255.50 |
$255.50 |
$255.50 |
$170.00
|
|
Fructosamine glycated protein
|
$104.30 |
$104.30 |
$104.30 |
$61.75
|
|
Ftl cgen abnor five anal
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$155.10
|
|
Ftl cgen abnor four anal
|
$902.30 |
$902.30 |
$902.30 |
$205.80
|
|
Ftl cgen abnor three anal
|
$584.50 |
$584.50 |
$584.50 |
$126.56
|
|
Ftl cgen abnor two proteins
|
$119.70 |
$119.70 |
$119.70 |
$109.00
|
|
Functional brain mapping
|
$778.40 |
$778.40 |
$778.40 |
$514.80
|
|
Furosemide 10 mg/ml injection solution
|
$90.65 |
$90.65 |
$90.65 |
$19.53
|
|
Fxn gene detc abnor alleles
|
$355.60 |
$355.60 |
$355.60 |
$200.88
|
|
Fxn gene full gene sequence
|
$713.30 |
$713.30 |
$713.30 |
$379.27
|
|
G6pc gene
|
$503.30 |
$503.30 |
$503.30 |
$138.40
|
|
G6pd full gene sequence
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$403.20 |
$403.20 |
$403.20 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$291.90 |
$291.90 |
$291.90 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$240.10 |
$240.10 |
$240.10 |
$139.70
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$219.10 |
$219.10 |
$219.10 |
$107.11
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$743.22 |
$743.22 |
$743.22 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$729.75 |
$729.75 |
$729.75 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$285.60 |
$285.60 |
$285.60 |
$100.00
|
|
Galactose transferase test
|
$136.50 |
$136.50 |
$136.50 |
$32.00
|
|
Galectin-3
|
$112.70 |
$112.70 |
$112.70 |
$111.60
|
|
Gallbladder Removal (Laparoscopic)
|
$30,640.64 |
$30,640.64 |
$30,640.64 |
$12,906.50
|
|
Gallium illuccix 1 millicure
|
$2,375.10 |
$2,375.10 |
$2,375.10 |
$2,046.76
|
|
Gallium locametz 1 millicuri
|
$2,060.10 |
$2,060.10 |
$2,060.10 |
$1,853.80
|
|
Gamma globulin 1 cc inj
|
$2,427.42 |
$2,427.42 |
$2,427.42 |
$406.90
|
|
Gammaglobulin iga
|
$89.60 |
$89.60 |
$89.60 |
$69.42
|
|
Gammaglobulin ige
|
$242.20 |
$242.20 |
$242.20 |
$83.40
|
|
Gamma glutamyltransferase
|
$142.80 |
$142.80 |
$142.80 |
$57.54
|
|
Gamunex-c/gammaked
|
$9,529.97 |
$9,529.97 |
$9,529.97 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$634.90 |
$634.90 |
$634.90 |
$197.40
|
|
Gardner vag dna amp probe
|
$81.90 |
$81.90 |
$81.90 |
$71.40
|
|
Gastric motility studies
|
$2,331.70 |
$2,331.70 |
$2,331.70 |
$972.00
|
|
Gastroesophageal reflux study
|
$1,055.60 |
$1,055.60 |
$1,055.60 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$2,091.60 |
$2,091.60 |
$2,091.60 |
$1,352.00
|
|
Gba gene
|
$254.80 |
$254.80 |
$254.80 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$965.82 |
$965.82 |
$965.82 |
$208.92
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$28,093.27 |
$28,093.27 |
$28,093.27 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$162,050.58 |
$162,050.58 |
$162,050.58 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$93,061.66 |
$93,061.66 |
$93,061.66 |
$36,771.84
|
|
Genetic tstg severe inh cond
|
$5,938.80 |
$5,938.80 |
$5,938.80 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$128,647.03 |
$128,647.03 |
$128,647.03 |
$40,800.00
|
|
Genome sequence analysis
|
$11,622.10 |
$11,622.10 |
$11,622.10 |
$5,031.20
|
|
Genome sequence analysis
|
$6,260.10 |
$6,260.10 |
$6,260.10 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$182.35 |
$182.35 |
$182.35 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$295.40 |
$295.40 |
$295.40 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$1,971.90 |
$1,971.90 |
$1,971.90 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$15,153.34 |
$15,153.34 |
$15,153.34 |
$1,452.00
|
|
Ghs acetylcholinesterase, rbc
|
$25.20 |
$25.20 |
$25.20 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$139.30 |
$139.30 |
$139.30 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,446.90 |
$1,446.90 |
$1,446.90 |
$403.38
|
|
Ghs analysis neurostim without reprogramming
|
$459.90 |
$459.90 |
$459.90 |
$247.06
|
|
Ghs antibodies (torch) igm
|
$102.20 |
$102.20 |
$102.20 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$672.00 |
$672.00 |
$672.00 |
$343.68
|
|
Ghs central line insert < age 5, failed
|
$3,825.50 |
$3,825.50 |
$3,825.50 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$2,255.09 |
$2,255.09 |
$2,255.09 |
$594.55
|
|
Ghs chemo >8 hrs
|
$854.70 |
$854.70 |
$854.70 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$525.00 |
$525.00 |
$525.00 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$160.30 |
$160.30 |
$160.30 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$746.20 |
$746.20 |
$746.20 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$965.30 |
$965.30 |
$965.30 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,397.20 |
$1,397.20 |
$1,397.20 |
$1,554.70
|
|
Ghs closed tx radiocarpal disloc w manip
|
$653.10 |
$653.10 |
$653.10 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$2,873.50 |
$2,873.50 |
$2,873.50 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$28,680.44 |
$28,680.44 |
$28,680.44 |
$3,448.80
|
|
Ghs clsd red med malleolus fx without manip
|
$839.30 |
$839.30 |
$839.30 |
$494.40
|
|
Ghs clsd red med malleolus fx w manip
|
$3,579.80 |
$3,579.80 |
$3,579.80 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,501.40 |
$3,501.40 |
$3,501.40 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$872.20 |
$872.20 |
$872.20 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$1,473.50 |
$1,473.50 |
$1,473.50 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$157.50 |
$157.50 |
$157.50 |
$89.00
|
|
Ghs conjunctiva foreign body-superf bil
|
$568.40 |
$568.40 |
$568.40 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$647.50 |
$647.50 |
$647.50 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$698.60 |
$698.60 |
$698.60 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,806.70 |
$1,806.70 |
$1,806.70 |
$1,103.75
|
|
Ghs diphtheria toxoid ab igg
|
$155.40 |
$155.40 |
$155.40 |
$55.02
|
